Healthcare Provider Details

I. General information

NPI: 1578493979
Provider Name (Legal Business Name): NOBLE CREEK PATH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 SPRINGFIELD WAY
ARDEN NC
28704-8572
US

IV. Provider business mailing address

9 SPRINGFIELD WAY
ARDEN NC
28704-8572
US

V. Phone/Fax

Practice location:
  • Phone: 863-446-0246
  • Fax:
Mailing address:
  • Phone: 863-446-0246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. NANCY CONEJO PADRON
Title or Position: MANAGING MEMBER
Credential: LCMHC
Phone: 863-446-0246